Active NPI
Wanda K Miller, OT
- Occupational Therapist
- Mobile, AL
National Provider Identifier
1508058132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0014
- Practice address
- 1903 Springhill Ave
Mobile, AL 36607 - Phone
- (251) 476-0525
- Fax
- (251) 476-5724
- NPI assigned
- Aug 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0014 | AL | Primary |
Addresses
Primary practice location
1903 Springhill Ave
Mobile, AL 36607
Mailing address
1903 Springhill Ave
Mobile, AL 36607
Phone (251) 476-0525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 51073591 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213660800000",
"number": "1508058132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1903 SPRINGHILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36607",
"telephone_number": "251-476-0525",
"fax_number": "251-476-5724"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1903 SPRINGHILL AVE",
"city": "MOBILE",
"state": "AL",
"postal_code": "36607",
"telephone_number": "251-476-0525",
"fax_number": "251-476-5724"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "WANDA",
"middle_name": "K",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-17",
"last_updated": "2008-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "0014",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51073591",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.